JP2019168974A - Blood collection work support system - Google Patents

Abstract

An object of the present invention is to provide a blood collection work support system capable of minimizing the occurrence of re-sticking in a blood collection operation. When a re-stab occurs, the re-scission factor information indicating the cause of the re-stab is entered by a blood resampling operator based on the re-scission information input means input by the blood sampling operator. It is configured to include a measure selecting means for selecting straightening measure information capable of suppressing occurrence of correction and a measure presenting means for presenting, at a predetermined timing, the straightening measure information selected by the measure selecting means. According to such a configuration, the occurrence of re-sticking can be suppressed by collecting blood according to the presented re-sticking countermeasure information. Furthermore, by implementing a course or training based on the presented remedies, it is possible to greatly contribute to improving the skill of the blood sampling operator. [Selection diagram] FIG.

Description

  The present invention relates to a blood collection support system for improving the blood collection skill of a blood collection operator who collects blood in a blood collection room or the like of a hospital.

  In order to improve the efficiency of blood collection work in blood collection rooms of hospitals, blood collection work support systems have been introduced in many hospitals (for example, Patent Document 1). In such a conventional blood collection support system, additional information of a blood sample (a patient to be collected) input at the time of reception and a blood collection comment registered at the time of blood collection in the past of the blood sample are printed on a blood collection instruction. By showing to the blood collection operator, the blood collection operator can be used as a reference when collecting blood from each blood collection subject.

JP 2008-97179 A

  By the way, at the blood collection site, re-stab may occur due to puncture of the blood sample. The occurrence of such re-sticking depends on the skill of the blood collection operator, and since the occurrence probability is recognized to be relatively low (about 3% to 6%), it is left to the response at the blood collection site. The fact is Therefore, there is a problem that it is difficult to reduce the probability of occurrence of re-stitching any more.

  On the other hand, according to the above-described conventional configuration (Patent Document 1), by registering a blood sampling comment at the time of the re-stitching, the blood sampling comment can be referred to at the next blood sampling, and the same blood sample can be re-stabbed. The effect of preventing the occurrence can be expected. However, this effect is limited only to the same blood sample subject to blood sampling comments. Furthermore, since the skills of blood collection workers vary, blood collection comments by blood collection workers with relatively high skills cannot be used correctly by blood collection workers with relatively low skills, and the same blood sample is collected. There was also a risk of re-stitching. As described above, in the conventional configuration, the effect of the blood collection comment is extremely limited, and is insufficient as an effect of reducing the probability of occurrence of re-stab.

  The present invention has been made in view of the present situation, and proposes a blood collection work support system that can reduce the occurrence of re-stab in blood collection work as much as possible.

  The present invention is provided for each blood collection table, blood collection workers working in each blood collection table, provided blood collection table terminal capable of inputting information related to the blood collection performed, and each blood collection table terminal, so that each blood collection table terminal can communicate, A blood collection management device that manages the information input at the blood collection table terminal, and the blood collection table terminal generates the re-stab when a re-puncture occurs due to the puncture of the blood sample The blood collection management device is provided with a puncture information input means for inputting puncture factor information indicating the cause of the error, and the blood collection management device receives the puncture factor information input by the puncture information input means of each blood collection table terminal. The information storage means for accumulating and storing and a plurality of puncture countermeasure information indicating measures capable of suppressing the occurrence of the re-stab, and based on the puncture factor information stored in the information storage means, Measure selection means for selecting measure information, and predetermined Triggered by the establishment of the presentation condition, a blood collection business support system characterized in that it is made and a countermeasure presenting means for presenting the selected barbs straight countermeasure information by the measure selecting means.

In such a configuration, since the anti-sticking information is selected based on the non-sticking factor information input at the time of the re-sticking and the selected anti-sticking information is presented, the blood collection operator By performing the blood collection operation according to the puncture countermeasure information, it is possible to prevent the puncture from occurring. Here, since the proposed counterstab countermeasure information is selected from a plurality of pre-stab countermeasure information, it is possible to improve the skill of the blood collection operator by following the presented counterstab countermeasure information. Regardless, appropriate and stable blood collection can be performed. As described above, according to the present configuration, the blood collection work for the factor causing the re-stab can be standardized by the re-stab countermeasure information selected based on the re-stab factor information, so that the probability of the re-stab can be significantly reduced.
This configuration presents counterstab countermeasure information when the presentation condition is established, and the cause of the re-stab in one or more blood collection workers due to the proposed counterstab countermeasure information and its factors It is possible to learn a countermeasure method (sticking countermeasure information) and improve the skill of blood collection work. In particular, by conducting training and training based on the presented information on countermeasures to re-seal for multiple blood collection workers, it can be standardized as an education on factors that have caused re-stabs and their countermeasures. This can greatly contribute to improving the skills of blood collection workers.

  In this configuration, as the predetermined presentation conditions, the input of stinging factor information, the number of stored specific stinging factor information exceeding a predetermined threshold, the stored stinging factor information It is possible to appropriately set whether the result of analysis by statistical analysis such as multivariate analysis has become a predetermined threshold condition, or that a predetermined operation has been executed by an administrator. Here, when the input of stinging factor information is used as the presentation condition, the blood collection operator who has input the stinging factor information can learn the stinging countermeasure information immediately after the blood sampling operation, so the learning efficiency is extremely high. . In addition, when other conditions are set as the presentation conditions, it is possible to educate a plurality of blood collection workers about the factors of re-stitching and countermeasures, and the skills of all of them can be improved efficiently.

Furthermore, in the configuration of the present invention, it is also possible to adopt a configuration in which, when blood is collected, counterstab countermeasure information that can fall under the blood collection subject is presented to the blood collection operator.
That is, “The blood collection table terminal includes blood collection information input means for inputting identification information of a blood collection sample collected on the blood collection table,
The blood collection management device comprises a diagnosis information acquisition means for acquiring diagnosis information of a blood sample from an external storage device,
The information storage means of the blood collection management device accumulates and stores the puncture factor information input at the blood collection table terminal in relation to the examination information of the blood sample subject to the puncture factor information,
The measure selection means of the blood collection management device is:
Condition setting means for determining the conditions for the re-stab on the basis of the re-striking factor information and the diagnosis information accumulated and stored in the information storage means;
When identification information of a blood sample is input at the blood collection table terminal, if the diagnosis information of the blood sample satisfies the generation condition of the generation condition setting means, one or a plurality of puncture countermeasures based on the generation condition And a measure estimation means for selecting information,
The measure presenting means of the blood collection management device presents the puncture countermeasure information selected by the measure estimating means via the blood collection table terminal into which the identification information of the blood sample is input. A configuration is proposed.
Here, as diagnosis information of a blood sample, information diagnosed by a doctor, information on inquiry, information on medical examination, and the like can be applied. In addition, as a generation condition of the condition setting unit, for example, a condition set by statistical analysis such as multivariate analysis based on accumulated puncture factor information and the examination information can be suitably used. Note that the measure presenting means of this configuration includes a device (such as a monitor or a speaker) that presents at the blood collection table terminal.
In such a configuration, the blood collection operator presents the blood collection operator with information on the countermeasure against the blood collection according to the blood collection subject who may cause re-sticking at the time of blood collection. By performing the blood sampling operation according to the information, it is possible to prevent re-stab occurrence. Therefore, according to this configuration, it is possible to further reduce the probability of re-stitching. Needless to say, even in this configuration, the blood collection operator can learn the cause of the re-stick and the countermeasure method by using the presented counter-stick countermeasure information, and the blood collection work skill can be improved. There is also an operational effect.

  In the blood collection work support system of the present invention described above, the puncture factor information input by the puncture information input means of the blood collection table terminal includes the body factor information based on the physical characteristics of the blood sample and the punctured body part A configuration is proposed that includes puncture site information indicating

  In such a configuration, since the cause of the re-stab can be more accurately indicated by the body factor information and the puncture site information, it is possible to more accurately select the re-stab countermeasure information suitable for the re-stab factor information. it can. Therefore, the effect of preventing the occurrence of re-sticking can be more stably generated by performing the blood collection operation according to the presented anti-sticking information. Furthermore, the presented puncture countermeasure information allows the blood collection operator to learn more effectively the cause of the puncture and the countermeasure method, thereby further improving the skill of the blood collection work.

  In the blood collection work support system of the present invention described above, the blood collection management device causes the countermeasure selection means to generate a re-stab based on the re-striking factor information stored in the information storage means and the accumulated number of re-stab factor information A configuration is proposed in which one or a plurality of puncture countermeasure information having a high contribution rate to the suppression of the remedy is selected, and the countermeasure presentation means presents the puncture countermeasure information selected by the priority countermeasure selection means. . Here, a method using statistical analysis such as multivariate analysis is suitably used as a method for selecting counterstab countermeasure information with a high contribution rate.

  According to such a configuration, it is possible to efficiently learn the factor that caused the blood collection operator to re-stick and the countermeasure method based on the presented counter-stick countermeasure information, and to improve the skill of the blood collection work more efficiently. Therefore, the effect of reducing the occurrence probability of re-stitching is further improved.

  Furthermore, in the blood collection work support system described above, the blood collection table terminal includes worker information input means for inputting the identification information of the blood collection operator, and the blood collection management device has the information storage means input at the blood collection table terminal. The puncture factor information and the identification information of the blood collection operator who has input the puncture factor information are stored in association with each other, and the measure selection means is provided for the blood collection operator who has accumulated the identification information. A configuration is proposed in which one or a plurality of counter-puncture countermeasure information having a high contribution rate to the suppression of the occurrence of re-stab is selected. Here, there may be one blood collection worker or a plurality of blood collection workers whose countermeasure selection means selects the puncture countermeasure information. In addition, as a measure presentation means, for example, a configuration in which identification information of a blood collection worker is input to be presented so that the target blood collection worker can be presented with the puncture countermeasure information (the presentation condition is that of the blood collection worker). A configuration in which identification information is input can be applied.

  In such a configuration, it is highly effective in preventing the occurrence of re-sticking due to the same factor by presenting re-sticking information to the blood-collecting operator who has re-stabbed, and re-stitching by the same blood-collecting worker. Can prevent recurrence.

1 is a system configuration diagram of a blood collection work support system 1 according to an embodiment. It is explanatory drawing which shows the example of a display of the display screen 10 of the blood collection stand terminal 7. FIG. It is explanatory drawing which shows the example of a display of the display screen 10 of the blood collection stand terminal 7. FIG. It is explanatory drawing which shows the input display example of the stinging factor information in the display screen 10 of the blood collection stand terminal. It is a chart which shows the relationship between the stinging factor information and the stinging countermeasure information. It is a flowchart which shows a puncture data analysis presentation process.

Embodiments of the present invention are described according to the following examples.
The blood collection work support system 1 of this embodiment is for supporting blood collection work by a blood collection worker (such as a nurse) in a hospital. As shown in FIG. 1, the blood collection work support system 1 includes a work management server 2, a database 3, a reception terminal 4, a blood collection preparation device 5, a guidance guidance display device 6, and a plurality of blood collection table terminals 7. It is equipped with. The blood collection tube preparation device 5 and the blood collection table terminal 7 are installed in a blood collection room, the reception terminal 4 is installed in a reception place where the reception procedure is performed, and the guidance information display device 6 is a blood sample ( It is installed in a waiting place where the patient) waits. Further, the business management server 2 and the database 3 are not particularly limited, but are preferably near a blood collection room or a reception place.

  The business management server 2 forms the basis of the blood collection business support system 1. The business management server 2 is connected to a host system S (electronic medical record system) via a hospital LAN, and also via a communication cable, a database 3, a reception terminal 4, a blood collection tube preparation device 5, a guidance guidance display device 6, The blood collection table terminal 7 is communicably connected. The business management server 2 includes a monitor and operation means such as a keyboard so that an administrator can update and correct various programs and data as needed. Further, a printer is also connected so that various data stored in the database 3 can be printed.

  The database 3 stores and stores various data related to blood collection work. Data stored in the database 3 is referred to / registered / updated by the business management server 2 or the like. In this embodiment, the business management server 2 and the database 3 correspond to a blood collection management device according to the present invention.

  The reception terminal 4 is installed at the above reception place and is used for a blood collection person reception procedure. The reception terminal 4 is mainly used for collation of the received blood sample. The reception terminal is provided with a reception slip printer that issues a reception slip for the blood sampled subject to the reception procedure. On the reception slip, a reception number, a blood-collected person ID number (patient ID), and a barcode for storing the information are printed.

  The blood collection preparation device 5 is for preparing a blood collection tube to be used for blood collection of a blood sample. Specifically, the blood collection preparation device 5 accommodates a plurality of types of blood collection tubes used for blood collection, and based on the information received from the business management server 2, the types of blood collection tubes used for blood collection of the blood collection subject In addition, a blood collection label on which the name of the blood sample is printed is affixed, and all blood collection tubes used for blood collection of one blood sample are accommodated in one tray. Furthermore, the blood collection preparation device 5 accommodates a blood collection information display piece obtained by printing information related to blood collection of each blood collection person on a piece of paper together with a blood collection tube for the blood collection person and carries it out. In addition, since the basic structure of this blood-collecting-tube preparation apparatus 5 is well-known, detailed description is abbreviate | omitted.

  The guidance guidance display device 6 is installed at a standby location and displays information for a blood sample who stands by at the standby location. Specifically, the guidance guidance display device 6 displays the current waiting number and the reception number of the patient with a high waiting order.

  The blood collection table terminal 7 is a terminal used by a blood collection operator who collects blood on the blood collection table, and is installed for each blood collection table installed in the blood collection room. Each blood collection table terminal 7 includes a monitor having a touch panel display screen, a scanner for reading a barcode, and a calling device for calling a blood sample.

Next, the basic flow of blood collection work using the blood collection work support system 1 of the present embodiment will be described.
In blood collection work, basically, before the blood sample comes to blood collection, information including identification information (name, ID, etc.) of the blood sample, blood collection information (information indicating the content of blood collection), etc. Are registered in the host system S of the hospital. The information on the blood collection person registered in the host system S in this way is acquired by the business management server 2 and registered in the blood collection master information of the database 3. That is, the database 3 stores identification information and blood collection information of a blood sample ordered by a doctor or nurse.

  The blood collection person performs the reception procedure at the blood collection reception place. In the reception procedure, the counter staff reads the blood collection person ID stored in the blood collection person's examination card with the scanner of the reception terminal 4. The reception terminal 4 transmits the read blood collection person ID to the business management server 2, and the business management server 2 receives the blood collection person ID received and the blood collection person identification information registered in the blood collection master information of the database 3. If the verification is normal, the blood collection person's identification information and blood collection information are registered in the blood collection work list of the database 3, and the blood collection of the blood collection person is stored in the reception terminal 4. A signal indicating acceptance is transmitted. The reception terminal 4 that has received this signal issues a reception form for the blood sampled person using the reception form printer. When the blood sample is received, the blood collection person stands by at the standby place until the reception number printed on the reception form is called.

  When the business management server 2 registers the blood collection person identification information and the blood collection information in the blood collection work list, the business management server 2 transmits the blood collection preparation information to the blood collection preparation apparatus 5 and sends the blood collection preparation apparatus 5 to the blood collection preparation apparatus 5. Prepare a blood collection tube. The blood collection preparation information includes the type of blood collection tube to be used, information to be printed on a blood collection label and a blood collection information display piece, and the like. The blood collection preparation device 5 prepares blood collection tubes to be used for blood collection of each blood sample and blood collection information display pieces in the order in which the blood collection preparation information is received from the business management server 2, and collects them in one tray. And then take it out.

In each blood collection table in the blood collection room, blood collection operations are performed in the following order.
(1) When starting a work on a blood collection table, a blood collection worker first performs a worker authentication procedure. Specifically, at the start of work, a blood collection operator authentication screen is displayed on the display screen 10 of the blood collection table terminal 7 as shown in FIG. When the blood collection operator reads the blood collection worker ID stored in the name tag or the like with the scanner of the blood collection table terminal 7 and the worker authentication procedure is completed, the display screen 10 of the blood collection table terminal 7 displays FIG. ) Is displayed.
(2) The blood collection operator brings one tray carried out by the blood collection tube preparation device 5 to the blood collection table.
(3) The blood collection operator reads the barcode printed on the blood collection label of the blood collection tube in the tray with the scanner of the blood collection table terminal 7. Thereby, the blood collection table terminal 7 reads the blood collection person ID memorize | stored in the said barcode, and transmits the command for acquiring the blood collection information of the blood collection person of this ID to the work management server 2. Then, the business management server 2 reads the blood collection information of the blood collection person indicated by the blood collection person ID from the blood collection work list in the database 3 and transmits it to the blood collection table terminal 7 that is the command output destination. The blood collection terminal 7 displays a blood collection screen on the display screen 10 according to the received blood collection information, as shown in FIG. On the blood collection screen, identification information and blood collection information of a blood collection subject who collects blood are displayed. Moreover, the blood collection table terminal 7 performs a voice call of the blood collection subject by the calling device.
(4) The blood collection operator reads the barcode printed on the received blood collection person's reception slip with the scanner of the blood collection table terminal 7. As a result, the blood collection table terminal 7 compares the information on the reception slip with the information on the blood collection tube to authenticate the called blood collection subject. If this authentication is normal, a message instructing the start of blood collection is displayed at the bottom of the display screen 10 as shown in FIG.
(5) When the blood collection operator completes the blood collection of the blood collection subject according to the instruction of the blood collection table terminal 7, the blood collection operator operates the “complete” button 11 displayed in the lower right portion of the display screen 10 in FIG. Thereby, the blood collection result input screen shown in FIG. 4A is displayed on the display screen 10 of the blood collection table terminal 7. The blood collection operator inputs information related to blood collection of the blood collection subject via the blood collection result input screen. When the input of this information is completed, a series of blood collection operations related to blood collection by the blood sampler is completed, and a blood sample list screen (FIG. 2B) is displayed on the display screen 10 of the blood collection table terminal 7. . The information input on the blood collection result input screen is transmitted to the business management server 2, and is stored in the blood collection result data of the database 3 in association with the blood collection person identification information. The information input to the blood collection result input screen described above relates to the main part of the present invention, and the details will be described later.

Next, the main part of the present invention will be described.
The following information is accumulated and stored in the database 3 of the blood collection work support system 1 of the present embodiment.
(1) Blood collection master information Identification information (name, ID, gender, date of birth, etc.) of a blood sample obtained from the host system S, blood collection information (information indicating the content of blood collection), examination information (physical information, current information) Disease information, medical history, etc.) and blood collection history (blood collection information)
(2) Blood collection work list Identification information and blood collection information of the blood collection person who has received the acceptance procedure and before the blood collection is finished (3) Blood collection result data Identification information and blood collection result information of the blood collection person after the blood collection is finished (4) Setting information Information on the cause of re-stitching and countermeasure information on re-stitching (5) Stinging analysis data Data for analyzing the re-stamping that has occurred, a program for presenting and analyzing the sting data, and the analysis result of the program (6) Blood collection information Attribute information (name, worker ID, affiliation, classification, etc.) of each blood collection worker, and blood collection results (number of blood collection, failure rate, replacement rate, average time required for blood collection, etc.)
(7) Blood collection table information The operating status of each blood collection table (during / stopping blood collection), and information on blood collection workers in operation

  In the setting information relating to re-stitching in (4) above, a plurality of factor information (hereinafter referred to as re-stamping factor information) indicating factors causing re-stitching is set in advance, and information on countermeasures against each factor ( Hereinafter, puncture countermeasure information) is set in advance (see FIG. 5). Then, one or a plurality of re-stamp measures information that can prevent re-stab caused by each factor is assigned to each re-stamp factor information. In other words, the countermeasures are predetermined for each cause of re-stitching. Here, in the present embodiment, 13 pieces of factor information are defined in the stinging factor information based on the investigation result (experience) at the blood sampling site, and each piece of factor information corresponds to the state of the blood vessel. Are classified into a plurality of groups (see FIG. 4B). This factor information is mainly set based on the physical characteristics of the blood sample. Further, in the present embodiment, ten pieces of piercing part information indicating the pierced part are also defined in the piercing factor information. As will be described later, such puncture factor information (the factor information and the puncture site information) is input by a blood collection operator, and stored and stored in the database 3 as information indicating the cause of the puncture. On the other hand, as shown in FIG. 5, for each factor information, grasping method information for grasping the blood vessel state that is likely to cause re-sticking, and countermeasure information that can prevent re-sticking as shown in FIG. And are set respectively. This grasping method information and countermeasure information are standard countermeasures that are effective against re-stabs caused by the above-mentioned generation factors (factor information). By performing blood sampling according to these measures, the same generation factors (factors) The possibility of preventing re-stab by information) is extremely high.

  As described above, the re-stamping factor information and the re-stamping countermeasure information are assigned to each factor information of the re-stamping factor information by effective grasping method information and countermeasure information for each factor information. Therefore, grasping method information and countermeasure information can be selected according to each factor information. Specifically, when the factor information of the stinging factor information is “edema”, “confirm the diagnosis information of the clinical department (heart, kidney, collagen disease)” in the grasping method information, “edema such as left and right limb differences "Check for edema" and "Check for edema", and the countermeasure information "Bend the forearm to find the mid-blood vessel", "Strongly roll the blood transporter, blood flow Secure blood flow to find blood vessels "and" get blood sample to lie down and collect blood from foot "are selected. Thus, grasp method information and countermeasure information are selected according to each factor information. Note that there is a plurality of pieces of factor information in which countermeasure information having the same content is set.

  In addition, the stab analysis data of (5) above includes a puncture data analysis presentation program for statistically analyzing generated stabs, data used for the program, and analysis results obtained by the program. Data etc. are included. Here, the data used in the program includes the above-described factor data and the number of pieces of puncture site information, the number of times indicating the number of punctures, the blood collection operator ID that has been pierced, and the blood sample that has been pierced again. It is data such as an ID, and the blood collection operator ID and the blood collection subject ID are stored as data associated with each element information of re-stitching and each piece of re-stitching site information. These data are updated once a day. Specifically, the work management server 2 executes a batch process after the end of the blood collection work for one day, and adds the data updated on the day to the data accumulated so far. Moreover, the puncture data analysis presentation program is activated by the administrator via the business management server 2 as described later, and executes a process of analyzing each data and displaying the analysis result. This analysis result data is stored whenever the program is executed.

  The information stored in the database 3 except for (4) and (5) can be applied to conventionally known information and data, or generally known information and data, and therefore will not be described in detail. To do.

  On the other hand, in the blood collection operation performed at each blood collection table in the blood collection chamber described above, when a repuncture occurs due to needle puncture, an operation for inputting the cause of the repuncture by the repunctured blood collection operator Is done. That is, when a re-stab occurs in the blood collection operation, the blood collection operator re-stabs the item in the number of re-stabs on the blood collection result input screen of FIG. 4A displayed on the display screen 10 of the blood collection table terminal 7. Select the display area and touch. Then, when the “input completion” button 12 displayed in the lower right part of the blood collection record input screen is operated, a puncture information input screen shown in FIG. 4B is displayed on the display screen 10. On the puncture information input screen, a puncture situation area 13 for displaying the puncture situation and a puncture site area 14 for displaying the punctured part are displayed. Here, a plurality of factor information indicating the factor causing the re-stab is displayed in the re-stab status area 13, and each factor information is grouped by a plurality of element information indicating the blood vessel information and the status information. Is displayed. Such a grouping display mode makes it easier for blood collection workers to select factor information. The factor information displayed here is the factor information (see FIG. 5) of the above-mentioned straightening factor information. In addition, a plurality of puncture sites are displayed in the puncture site area 14, and the left and right of each puncture site can be selected.

  On such a puncture information input screen, the blood collection operator selects and performs a touch operation on a factor information display region in the puncture situation area 13 in accordance with the state of occurrence of the puncture. Further, the left and right display sites of the puncture site are selected in the puncture site area 14 and a touch operation is performed. Here, a plurality of display sites for factor information and left and right display sites for the puncture site can be selected and operated. Then, when the “registration” button 15 displayed in the upper right part of the puncture information input screen is operated, input of information (stabulation factor information) in the blood collection operation in which the puncture is performed is completed. A series of blood collection operations related to blood collection of a blood sample subject who has been re-stabbed is completed upon completion of input on the above-described puncture information input screen, and the display screen 10 of the blood collection table terminal 7 has a blood sample list screen ( FIG. 2 (b)) is displayed.

  Further, in this embodiment, the business management server 2 executes a puncture data analysis presentation process that is operated by the above-described program for puncture data analysis presentation. This process is executed by starting the program by an administrator who has logged into the business management server 2. In this puncture data analysis presentation process, the analysis data stored in the puncture analysis data in the database 3 (such as the above-mentioned accumulated number data and number of times data) is read and statistical analysis is performed, and the analysis result is The printing process is performed by the printer.

More specifically, the stab data analysis presentation process is started by the start operation of the program and is ended by the end operation. As shown in FIG. 6, when a predetermined analysis condition is input by the administrator after startup, statistical analysis processing is executed. In this statistical analysis processing, data for analysis stored in the database 3 is read according to the input analysis conditions, and statistical analysis is performed using the read data to obtain an analysis result. Thereafter, an analysis result display process is executed, and an analysis result obtained by the statistical analysis process is displayed on the monitor in a predetermined display mode (for example, a graph display or a numerical display by a numerical table).
Here, the analysis conditions can be selectively input by the administrator, for example, a predetermined period (3 months, one year, etc.) or a group of blood collection workers belonging to a predetermined group (persons with less than 3 years of work history) , Who entered specific factor information). In the statistical analysis process, data that meets the input analysis conditions is selectively read from the database 3 and statistical analysis is performed. On the other hand, in the statistical analysis of the statistical analysis process, for example, the transition of the occurrence factor (factor information), the number of occurrences for each factor information, the accumulation number and rank of the factor information, and the stab selected by each factor information, respectively. Analyze the direct measure information and obtain these analysis results. Then, by referring to the analysis result displayed on the monitor by the analysis result display process, for example, it is possible to know the occurrence rate for each factor information, the tendency of blood collection workers who are likely to re-stab, and the like. .

  Furthermore, in the puncture data analysis and presentation process of the present embodiment, the puncture that has a high possibility of contributing to the reduction of the puncture with respect to the puncture that has occurred at a predetermined time of the input analysis condition or a predetermined blood collection operator group. Countermeasure information is displayed as an analysis result. Specifically, the statistical analysis process accumulates the accumulated number data of each factor information corresponding to the analysis condition for each countermeasure information corresponding to the factor information, thereby obtaining the effective number for each countermeasure information. The analysis result is obtained as countermeasure information having a high contribution rate to the reduction of the re-stitching in the descending order of the effective number. Then, the analysis result display process displays such countermeasure information with a high contribution rate on the monitor. Here, since the countermeasure information corresponding to each factor information may be common to a plurality of factor information, the contribution rate is obtained by adding each countermeasure information with the accumulated number data of each factor information as described above. Can be calculated.

  Here, the processing method for displaying the counterstab countermeasure information is not limited to the processing method for selecting and displaying the countermeasure information having a high contribution rate as described above, and other methods can also be used. For example, the statistical analysis process selects and reads counterstab countermeasure information assigned to factor information with a large accumulated number data, and obtains an analysis result including the counterstab countermeasure information. Then, by the analysis result display process, the selected puncture countermeasure information is displayed as the analysis result. In addition, the analysis result display process may perform a process of displaying puncture countermeasure information. That is, in the analysis result display process, when the factor information is displayed as an analysis result and the factor information is selected by the administrator, the counterstab countermeasure information corresponding to the selected factor information is read and displayed on the monitor. To do.

  In the present embodiment, the analysis result obtained by the statistical analysis process described above is stored in the straight analysis data of the database 3.

  Further, in the printing process for printing the analysis result, the administrator performs a print execution operation, so that based on the analysis result, the piercing factor information (factor information) and the puncture factor indicated in the analysis result are printed. Direct countermeasure information and the like can be printed in a predetermined presentation mode (eg, chart). Here, in this printing process, not only the information displayed on the monitor in the above analysis result display process, but also the analysis result obtained by the statistical analysis process and the information corresponding to the analysis result are printed. Specifically, the presentation information (contents) to be printed includes at least a re-stirring factor (stirring factor information) obtained as an analysis result and a countermeasure (stamping countermeasure information). .

  And based on the presentation information printed in this way, it is possible to carry out a class and a training for suppressing the occurrence of re-stabs for blood collection workers. For example, classes and trainings for improving skills are implemented using the most frequently generated factor information in a predetermined period (one month or half year), grasping method information and countermeasure information. Alternatively, training can be carried out for blood collection workers who are newcomers (for example, less than 3 years of work history), using factor information that is most likely to occur for newcomers, grasping method information, and countermeasure information.

  As described above, in this embodiment, when a repuncture occurs by puncture at the time of blood collection, the blood collection operator inputs puncture factor information indicating the cause of the repuncture at the blood collection table terminal 7, While storing and storing the piercing factor information in the database 3, the administrator logs in the business management server 2 and performs the piercing data analysis and presentation process, thereby performing statistical analysis of the accumulated piercing factor information, Analysis results can be obtained. The analysis result presented in this manner is the content including the puncture factor information and the puncture countermeasure information assigned to the puncture factor information, and a blood sampling operator is provided by conducting training and training based on this information. The skill of this can be improved, and the occurrence of re-stab in blood collection can be suppressed as much as possible. Furthermore, since the analysis result is based on the stinging factor information and the stinging countermeasure information set in advance in the database 3, it is possible to standardize the skill training of blood sampling in the training or the class, and the blood sampling operator Skill level can be improved stably. Therefore, it is possible to remarkably reduce the probability of occurrence of re-stitching.

  Furthermore, in the present embodiment, countermeasure information having a high contribution rate to the reduction in the occurrence of re-sticking is obtained as an analysis result by the re-sticking data analysis presentation process. By implementing the course, it is possible to select the most effective countermeasure information for a plurality of re-stitching and educate the blood collection worker. Further, since it is easy to obtain an effect of preventing a plurality of re-stabs only by educating relatively little countermeasure information, the efficiency of the education can be improved and a great effect can be expected.

Furthermore, in this embodiment, as described above, when a re-stab occurs, the re-stitched blood collection operator inputs the re-stamp factor information himself, so that the re-stamp factor information and the identification information of the blood collection worker Are accumulated and stored in the database 3. Therefore, the effect according to each analysis condition can be obtained by setting the following analysis conditions in the puncture data analysis presentation process.
(1) When blood collection workers with a work history of less than 3 years are set as analysis conditions Based on the analysis result of the puncture data analysis and presentation process executed under the analysis conditions, a group of blood collection workers with a work history of less than 3 years is selected. By carrying out targeted training and classes, the skill level of the blood collection workers group can be improved efficiently. Here, since the analysis result is based on the re-stirring factor information and re-stamping countermeasure information that occurred within the range of less than 3 years of work history, by conducting training and training based on the analysis result, The effect of preventing re-sticking that is likely to occur in this range is extremely high. The work history can be set as appropriate, such as less than one year or less than five years.
(2) When a predetermined period (for example, 3 months or 1 year) is set as the analysis condition, the cause of the re-stab that occurred during the predetermined period by conducting training and training based on the analysis result under this analysis condition (Tendency) and measures can be intensively educated, and overall awareness of re-stitching can be raised. Therefore, the effect of suppressing the occurrence of re-stitching is improved, and the probability of occurrence of re-stitching can be effectively reduced.
(3) When the recalculation factor information with a large number of accumulations is set in the analysis conditions By implementing training and training based on the analysis results based on the analysis conditions, the recalculation factor information with a large accumulation number (factor information) is obtained. Since the effect of preventing re-sticking as a generation factor is improved, the number of re-sticking occurrences can be effectively reduced as a whole.

In the above-described embodiment, the business management server 2 and the database 3 correspond to a blood collection management device according to the present invention. The database 3 corresponds to information storage means according to the present invention, and the business management server 2 corresponds to countermeasure selection means and countermeasure presentation means according to the present invention.
In addition, the factor information in the stinging factor information corresponds to the body factor information according to the present invention. The puncture site information corresponds to puncture site information according to the present invention, and the re-punctured site indicated by the puncture site information corresponds to the punctured body part indicated by the puncture site information. Furthermore, an analysis execution print execution operation by an administrator who has logged into the business management server 2 corresponds to the presentation condition according to the present invention.
Further, the monitor and scanner of the blood collection table terminal 7 correspond to the piercing information input means according to the present invention. The scanner of the blood collection table terminal 7 corresponds to the worker information input means according to the present invention.

In this invention, it is not limited to the Example mentioned above, About the structure other than the above-mentioned Example, it can change and implement suitably within the range of the meaning of this invention. Hereinafter, another example of the above-described embodiment will be illustrated.
In the above-described embodiment, analysis results for a predetermined period or a predetermined group of blood collection workers can be presented, and training and training based on the analysis results can be performed. An analysis result can also be obtained by executing an analysis. For example, an analysis is performed on a single blood sampling worker who has performed one or more re-stabs, and the blood sampling worker is trained based on the grasping method information and countermeasure information presented in the analysis results. Can be implemented. As described above, since the education for one individual can be performed optimally for each individual, the skill level of each individual can be improved most efficiently, and the probability of occurrence of re-stitching can be reduced as a whole.

  Further, in the above-described embodiment, the puncture data analysis / presentation process is executed by the administrator operating the business management server 2, but this is not a limitation, and the process is automatically executed at a predetermined timing. You may be made to do. For example, when data is updated after the end of a day's blood sampling operation, statistical analysis processing is executed along with the update, and data of the analysis result is stored in the database 3. Alternatively, when specific data accumulated in the database 3 (for example, accumulated number data of each factor information) exceeds a predetermined threshold value, the statistical analysis process may be executed in the same manner as described above.

  Further, in the above-described embodiment, the analysis result of the puncture data analysis presentation process is presented via the monitor or printer of the business management server 2, but not limited to this, by operating the blood collection table terminal 7, The puncture data analysis process may be executed, and the analysis result may be presented on the monitor of the blood collection table terminal 7 or printed by a printer connected to the blood collection table terminal 7.

  In the above-described embodiment, various processing methods can be applied as long as the statistical analysis process in the puncture data analysis presentation process is an analysis process that performs statistical analysis such as multivariate analysis. That is, the statistical analysis processing may be analysis processing by multivariate analysis, or may be analysis processing of other statistical analysis. Furthermore, it is also possible to apply analysis processing that combines a plurality of types of statistical analysis methods.

On the other hand, in the above-described embodiment, the analysis result of the puncture data analysis presentation process is presented by the administrator's operation.In addition to this, when collecting a previously collected blood sample, The blood collection table terminal 7 may notify the re-stab factor information and the re-stab countermeasure information. Specifically, at the time of blood collection, the blood collection history (result of blood collection) of the blood sample is retrieved from the database 3 by collating the blood collection receipt sheet with the blood collection label of the blood collection tube, which has been performed previously. In the case where the stab has been re-stabbed during the blood sampling, the stab re-cause factor information and the re-stab countermeasure information are displayed on the display screen 10 of the blood collection table terminal 7. According to such a configuration, when blood collection is performed on a blood-collected person who has been re-stitched by previous blood collection, the blood-collecting operator can know the cause and countermeasures of the re-stab, so that the same re-stab can be prevented from occurring. .
In addition, the blood sampled who has been re-stitched before can be searched and confirmed when collation is performed at the reception or when identification information is acquired from the host system S. Therefore, at the time of reception or acquisition, the puncture factor information and the puncture countermeasure information indicated in the blood collection history of the blood sample can be registered as the blood collection information of the blood sample. In such a configuration, by sending the blood collection information to the blood collection tube preparation device 5, the blood collection preparation device 5 prints the sticking factor information and the sticking countermeasure information on the blood collection information display piece prepared together with the blood collection tube. You can also

In addition, it is determined whether or not there is a possibility that a re-stab will occur for a blood sample that has not been re-stabbed or a blood sample that has been blood-collected for the first time. It can also be set as the structure to alert | report.
Specifically, the business management server 2 selects a condition setting process for setting a condition that is likely to cause a re-stab, and the factor and the countermeasure at the time of blood collection of a blood sample that satisfies the condition. And a measure presentation process for informing.
In the condition setting process described above, by analyzing the treatment information (diagnosis information, medical examination information, medical history, etc.) of a plurality of blood collection subjects accumulated and stored in the database 3 and the respective puncture factor information, Set conditions that are likely to cause re-stitching. For example, a plurality of items such as medical history, physique (BMI, obesity level, etc.), gender, age, and the like are set for each condition. As described above, these conditions are estimated from the information accumulated so far. For example, after one day of blood collection work, the condition setting process is executed and updated.
On the other hand, in the measure presentation process, when collating the blood collection person with the blood collection person ID inputted from the reception terminal 4, the condition set in the condition setting process is read from the database 3, and the condition is It is determined whether or not the information shown in the blood collection information or examination information of the blood sample is applicable. If it is determined that the condition is satisfied, the re-striking factor information (factor information) and the re-stamping countermeasure information (recognition method information and countermeasure information) of the corresponding condition are selected and read from the database 3 to collect blood. Register to work list. Thereafter, upon receiving the blood sample ID from the blood collection table terminal 7, the blood collection information of the blood sample, the puncture factor information of the condition and the puncture countermeasure information are read from the blood collection work list, and the blood collection table terminal 7 to send. As a result, the blood collection table terminal 7 displays the received puncture factor information and puncture countermeasure information, and notifies the blood collection operator that the blood collection subject is highly likely to be pierced. . With this display, the blood collection operator can perform blood collection by carefully observing and interrogating whether or not the factor information indicated in the stinging factor information applies to the blood sample, and the blood sample is likely to be applied to the factor information. When the determination is made, blood can be collected according to the anti-puncture countermeasure information, so that there is a high possibility of preventing the occurrence of re-stab. The puncture factor information and the puncture countermeasure information may be printed on a blood collection information display piece via the blood collection tube preparation device 5 and placed in a tray together with the blood collection tube.
According to such a configuration of another example, when a blood sample is collected, the blood collection operator is informed of the cause and countermeasures of the blood sample with the possibility of re-stitching. The occurrence of re-stitching can be suppressed as much as possible. In particular, this configuration is effective for a blood sample that has not been re-stitched before or for the first time, so it is effective in preventing the occurrence of re-stab, and overall, the probability of occurrence of re-stab is high. Significantly contributes to reduction.
Even in the configuration of this another example, similar to the above-described embodiment, the analysis result of the piercing data analysis presentation process is presented by the operation of the administrator. There is also an effect.

DESCRIPTION OF SYMBOLS 1 Blood collection work support system 2 Business management server 3 Database 4 Reception terminal 5 Blood collection tube preparation apparatus 7 Blood collection table terminal

Claims (4)

A blood collection table terminal that is installed for each blood collection table and allows blood collection operators working on each blood collection table to input information related to the blood collection,
A blood collection management device that is provided so as to be communicable with each blood collection table terminal and manages the information input at each blood collection table terminal,
The blood collection table terminal comprises puncture information input means for inputting puncture factor information indicating a factor causing the puncture when a puncture occurs by puncturing the blood sample, and the blood collection operator inputs the puncture factor information.
The blood collection management device comprises:
Information storage means for accumulating and storing the puncture factor information input by the puncture information input means of each blood collection table terminal;
Measure selection means comprising a plurality of puncture countermeasure information indicating measures capable of suppressing the occurrence of the puncture, and selecting one or a plurality of puncture countermeasure information based on the puncture factor information stored in the information storage means When,
A blood collection work support system comprising: a measure presenting means for presenting counterstab countermeasure information selected by the measure selecting means when a predetermined presentation condition is established.   The puncture factor information input by the puncture information input means of the blood collection table terminal includes physical factor information based on the physical characteristics of the blood sample and puncture site information indicating the punctured body site. The blood collection work support system according to claim 1. Blood collection management device
The measure selection means selects one or a plurality of re-sticking countermeasure information having a high contribution rate to the suppression of the re-sticking occurrence based on the re-sticking factor information stored in the information storage means and the accumulated number of the re-sticking factor information. Is,
The blood collection work support system according to claim 1 or 2, wherein the measure presenting means presents the straightness countermeasure information having a high contribution rate. The blood collection table terminal includes worker information input means for inputting identification information of a blood collection worker,
Blood collection management device
The information storage means accumulates and stores the stinging factor information input at the blood sampling table terminal and the identification information of the blood sampling operator who has input the stinging factor information,
The measure selection means selects one or a plurality of puncture countermeasure information having a high contribution rate to the suppression of the puncture occurrence for a blood collection operator who has accumulated identification information. The blood collection support system described in 1.

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